This is a question that cosmetic surgeons discuss regularly and you will find many different opinions. Most feel drains do help minimize seromas (fluid collections under the skin) and improve the recovery process. Some surgeons use fibrin sealants which also work well. Others just depend on dressings and pressure. In general, however, if your surgeon is experienced with facelifts and getting excellent results, then whether or not they use drains should not be an issue.